MRS. CHELSEA NICOLE JACKSON (NPI# 1235622929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235622929 |
| Entity Type | Individual |
| Full Name | MRS. CHELSEA NICOLE JACKSON |
| Credential | FNP-C |
| Practice Address |
1100 E Wendover Ave Greensboro NC 27405-6713 |
| Practice Telephone | 3366413946 |
| Mailing Telephone | 3366417777 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5010583 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942814736 | Chelsea Jackson | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2020-08-31 |
| 1235786013 | Chelsea Lynn Jackson | Dentist | 2700 Sunset Blvd, Steubenville, OH 43952-1158 | 2019-08-26 |
| 1881075661 | Chelsea Jackson | Physician Assistant | 2133 Vadalabene Dr, Suite 1, Maryville, IL 62062-5839 | 2015-06-17 |
| Street Address |
1100 E WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144284316 | Mark David Hill | Dentist | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2006-04-14 |
| 1821605080 | Morenike Kritzer | Nurse Practitioner | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-30 |
| 1790391563 | Michelle Lee Woolverton | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-17 |
| 1841804440 | Anna Minnick | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-09-02 |
| 1114558483 | Samantha Scales Boyd | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2020-01-27 |
| 1811544729 | Rachel Duncan Hunter | Dietitian, Registered | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-08-26 |
| 1336793157 | Jahci Heath | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-07-30 |
| 1205497666 | Beverly Louya Lance | Nurse's Aide | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-06-26 |
| 1760949259 | Nigar Hasanaliyeva | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-21 |
| 1811453160 | Thelma Jeter | Registered Nurse | 1100 E Wendover Ave, Greensboro, NC 27405-6713 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513573 | Deanna Zieglowsky Michaux | Nurse Practitioner | 3803 Cardinal Ct, Greensboro, NC 27410-9139 | 2020-09-18 |
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1871145912 | Jasmine Mcentyre | Nurse Practitioner | 605 College Road, Greensboro, NC 27410-4101 | 2019-07-09 |
| 1831673821 | Kathryn Monet Bradshaw | Nurse Practitioner | 1105 Mcdowell Dr, Greensboro, NC 27408-6008 | 2018-09-17 |
| 1093296477 | Adebimpe Abimbola Olofintuyi | Nurse Practitioner | 6000 Black Willow Dr, Greensboro, NC 27405-8202 | 2018-08-23 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1952890824 | Peace Dzigbordi Dormon | Nurse Practitioner | 5695 New Avedon Dr, Greensboro, NC 27455-8399 | 2018-05-07 |
| 1588153316 | Caitlyn Cook Johnston | Nurse Practitioner | 1000 Cowles Clinc Way Ste D-300, Greensboro, GA 30642-5289 | 2018-05-07 |
| 1992214357 | Jennifer Lynn Chatmon | Nurse Practitioner | 307 Pisgah Church Rd Ste J, Greensboro, NC 27455-2758 | 2017-09-28 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.